Научные статьи \ Прикладные науки. Медицина. Технология \ Mедицинские науки \ Патология. Клиническая медицина \ Нервная система. Невропатология. Неврология

Многоуровневые ортопедические вмешательства у детей со спастическим параличом

Многоуровневые ортопедические вмешательства у детей со спастическим параличом

Автор: Попков Дмитрий Арнольдович, Чибиров Георгий Мирабович, Кожевников Вадим Витальевич, Гвоздев Никита Сергеевич

Журнал: Гений ортопедии @geniy-ortopedii

Рубрика: Оригинальные статьи

Статья в выпуске: 4 т.27, 2021 года.

Бесплатный доступ

Введение. Целью данной статьи стал обзор современной литературы о роли многоуровневых одномоментных вмешательств в хирургии вторичных ортопедических осложнений у детей с ДЦП. Материалы и методы. При подготовке обзора были использованы поисково-информационные источники: научный поисковый портал PubMed, Scopus, ResearchGate, РИНЦ, а также издательские продукты (Elsevier, Springer etc). Статья построена на материале доклада, созданного для впервые проводимой в России образовательной конференции European Pediatric Orthopaedic Society в Центре Илизарова в 2021 году. Результаты и обсуждение. Работа включает обсуждение терминологии, показаний, особенностей хирургической техники и раннего послеоперационного периода, отдаленных результатов лечения при использовании многоуровневых ортопедических вмешательств, а также аспектов ятрогенных ортопедических нарушений у детей с ДЦП. Заключение. Многоуровневые вмешательства для коррекции вторичных ортопедических осложнений у пациентов с ДЦП являются стандартом оказания хирургической помощи. Успех данного вида хирургии зависит от правильности определения показаний и количественных значений коррекции, основывающихся на 3D-анализе походки, от соблюдения специфических технических требований к выполнению операции и проведения ранней реабилитационной программы. Стратегия многоуровневых вмешательств подразумевает максимально возможное снижения количества ортопедических операций и может быть признана успешной, если на протяжении детского периода жизни пациенту выполнялось не более двух многоуровневых реконструктивных вмешательств.

Еще

Детский церебральный паралич, многоуровневые одномоментные ортопедические вмешательства

Короткий адрес: https://sciup.org/142230204

IDR: 142230204   |   УДК: 616.831-009.12-089.84-053.2   |   DOI: 10.18019/1028-4427-2021-27-4-475-480

Multilevel orthopaedic surgery in children with spastic cerebral palsy

Introduction The purpose of the article was to review the modern literature on the role of multilevel single-stage interventions in the surgery of secondary orthopaedic complications in children with cerebral palsy. Material and methods The review was done using the databases of the current sources of scientific information including PubMed, Scopus, ResearchGate, RSCI and Elsevier, Springer publishing products. A report made for the first educational meeting of the European Pediatric Orthopaedic Society held in Russia at the Ilizarov Center in 2021 was used for the contribution. Results and discussion The article discusses terminology, indications, particular techniques and early postoperative period, long-term outcomes of multilevel orthopaedic interventions and aspects of iatrogenic orthopaedic conditions in children with cerebral palsy. Conclusion Multilevel intervention is the surgical procedure of choice for the correction of secondary orthopaedic complications in patients with cerebral palsy. The success of the surgery would depend on adequately identified indications and quantitative values of the correction to be performed on the basis of 3D gait analysis, the compliance with specific technical requirements for the procedure and an early rehabilitation program. The strategy of multilevel interventions suggests the greatest possible reduction in the number of orthopaedic surgeries and can be considered successful if the patient undergoes a maximum of two multilevel reconstructive interventions in the childhood.

Еще

Список литературы Многоуровневые ортопедические вмешательства у детей со спастическим параличом

  • Damiano D.L., Alter K.E., Chambers H. New Clinical and Research Trends in Lower Extremity Management for Ambulatory Children with cerebral Palsy // Phys. Med. Rehabil. Clin. N. Am. 2009. Vol. 20, No 3. P. 469-491. DOI: 10.1016/j.pmr.2009.04.005.
  • Westbom L., Hagglund G., Nordmark E. Cerebral palsy in a total population of 4-11 year olds in southern Sweden. Prevalence and distribution according to different CP classification systems // BMC Pediatr. 2007. Vol. 7. P. 41. DOI: 10.1186/1471-2431-7-41.
  • Measuring quality of life in cerebral palsy children / E. Viehweger, S. Robitail, M.A. Rohon, M. Jacquemier, J.L. Jouve, G. Bollini, M.C. Simeoni // Ann. Readapt. Med. Phys. 2008. Vol. 51, No 2. P. 119-137. DOI: 10.1016/j.annrmp.2007.12.002.
  • Krägeloh-Mann I. Klassifikation, Epidemiologie, Pathogenese und Klinik. In: Heinen F., Bartens W. Das Kind und die Spastik. Erkenntnisse der Evidenced-based Medicine zur Cerebralparese. Bern: Verlag Hans Huber. 2001. P. 37-48.
  • Hagberg B., Hagberg G. The origins of cerebral palsy. In: Recent advances in Paediatrics. David T. J., editor. XI Ed. Edinburgh: Churchill Livingstone. 1993. P. 67-83.
  • Muscle-tendon surgery in diplegic cerebral palsy: functional and mechanical changes / M.F. Abel, D.L. Damiano, M. Pannunzio, J. Bush // J. Pediatr. Orthop. 1999. Vol. 19, No 3. P. 366-375.
  • Wren T.A., Rethlefsen S., Kay R.M. Prevalence of specific gait abnormalities in children with cerebral palsy: influence of cerebral palsy subtype, age, and previous surgery // J. Pediatr. Orthop. 2005. Vol. 25, No 1. P. 79-83. DOI: 10.1097/00004694-200501000-00018.
  • Rectus femoris surgery in children with cerebral palsy. Part I: The effect of rectus femoris transfert location on the knee motion / S. Ounpuu, E. Muik, R.B. Davis 3rd, J.R. Gage, P.A. DeLuca // J. Pediatr. Orthop. 1993. Vol. 13, No 3. P. 325-330. DOI: 10.1097/01241398-199305000-00010.
  • Multilevel surgery in spastic diplegia: evaluation by physical examination and gait analysis in 25 children / V. Saraph, E.B. Zwick, G. Zwick, C. Steinwender, G. Steinwender, W. Linhart // J. Pediatr. Orthop. 2002. Vol. 22, No 2. P. 150-157.
  • A Systematic Review of the Effects of Single-Event Multilevel Surgery on Gait Parameters in Children with Spastic Cerebral Palsy / R.P. Lamberts, M. Burger, J. du Toit, N.G. Langerak // PLoS One. 2016. Vol. 11, No 10. e0164686. DOI: 10.1371/journal.pone.0164686.
  • Single-event multilevel surgery for children with cerebral palsy: a systematic review / J.L. McGinley, F. Dobson, R. Ganeshalingam, B.J. Shore, E. Rutz, H.K. Graham // Dev. Med. Child. Neurol. 2012. Vol. 54, No 2. P. 117-128. DOI: 10.1111/j.1469-8749.2011.04143.x.
  • Understanding in Children with Cerebral Palsy: Orthopedic Problems. Popkov D., editor. Nova Medicine and Health. 2020.
  • Distal femoral extension osteotomy and patellar tendon advancement to treat persistent crouch gait in cerebral palsy / J.L. Stout, J.R. Gage, M.H. Schwartz, T.F. Novacheck // J. Bone Joint Surg. Am. 2008. Vol. 90, No 11. P. 2470-2484. DOI: 10.2106/JBJS.G.00327.
  • Correction of severe crouch gait in patients with spastic diplegia with use of multilevel orthopaedic surgery / J.M. Rodda, H.K. Graham, G.R. Nattrass, M.P. Galea, R. Baker, R. Wolfe // J. Bone Joint Surg. Am. 2006. Vol. 88, No 12. P. 2653-2664. DOI: 10.2106/JBJS.E.00993.
  • Экономические аспекты многоуровневых ортопедических операций у пациентов с детским церебральным параличом / А.В. Губин, E.Н. Овчинников, Э.В. Гончарук, Н.И. Васильева, Д.А. Попков // Проблемы социальной гигиены, здравоохранения и истории медицины. 2020. Т. 28, Спец. вып. C. 716-722.
  • L'infirme moteur cérébrale marchant; de l'annonce du handicap à la prise en charge de l'adulte. Monographie de la SoFOP / J. Cottalorda, S. Bourelle, F. Chotel, B. Dohin, G.-F. Penneçot. Montpellier: Sauramps Médical. 2005. 252 p.
  • Damiano D.L., Alter K.E., Chambers H. New clinical and research trends in lower extremity management for ambulatory children with cerebral palsy // Phys. Med. Rehabil. Clin. N. Am. 2009. Vol. 20, No 3. P. 469-491. DOI: 10.1016/j.pmr.2009.04.005.
  • Lebarbier P., Penneçot G.-F. L'infirmité motrice d'origine cérébrale (IMOC) // Rev. Chir. Orthop. Traumatol. 2006. Vol. 92, No 4. P. 393-395.
  • Grogan D.P., Lundy M.S., Ogden J.A. A method for early postoperative mobilization of the cerebral palsy patient using a removable abduction bar // J. Pediatr. Orthop. 1987. Vol. 7, No 3. P. 338-340. DOI: 10.1097/01241398-198705000-00019.
  • Nene A.V., Evans G.A., Patrick J.H. Simultaneous multiple operations for spastic diplegia. Outcome and functional assessment of walking in 18 patients // J. Bone Joint Surg. Br. 1993. Vol. 75, No 3. P. 488-494. DOI: 10.1302/0301-620X.75B3.8496229.
  • DeLuca P.A. The musculoskeletal management of children with cerebral palsy // Pediatr. Clin. North Am. 1996. Vol. 43, No 5. P. 1135-1150. DOI: 10.1016/s0031-3955(05)70454-5.
  • Fabry G., Liu X.C., Molenaers G. Gait pattern in patients with spastic diplegic cerebral palsy who underwent staged operations // J. Pediatr. Orthop. B. 1999. Vol. 8, No 1. P. 33-38.
  • Sutherland D.H., Davids J.R. Common gait abnormalities of the knee in cerebral palsy // Clin. Orthop. Relat. Res. 1993. No 288. P. 139-147.
  • Gage J.R., DeLuca P.A., Renshaw T.S. Gait analysis: principle and applications with emphasis on its use in cerebral palsy // Instr. Course Lect. 1996. Vol. 45. P. 491-507.
  • Sagittal gait patterns in spastic diplegia / J.M. Rodda, H.K. Graham, L. Carson, M.P. Galea, R. Wolfe // J. Bone Joint Surg. Br. 2004. Vol. 86, No 2. P. 251-258. DOI: 10.1302/0301-620x.86b2.13878.
  • Identification of joint patterns during gait in children with cerebral palsy: a Delphi consensus study / A. Nieuwenhuys, S. Öunpuu, A. van Campenhout, T. Theologis, J. de Cat, J. Stout, G. Molenaers, T. de Laet, K. Desloovere // Dev. Med. Child. Neurol. 2016. Vol. 58, No 3. P. 306-313. DOI: 10.1111/dmcn.12892.
  • The reliability and validity of assessment of sagittal plane deviations in children who have spastic diplegia / N.S. Stott, W.G. Atherton, A.H. Mackey, I.J. Galley, R.O. Nicol, S.J. Walsh // Arch. Phys. Med. Rehabil. 2005. Vol. 86, No 12. P. 2337-2341. DOI: 10.1016/j.apmr.2005.06.021.
  • Clinician agreement on gait pattern ratings in children with spastic hemiplegia / F. Dobson, M.E. Morris, R. Baker, R. Wolfe, H. Graham // Dev. Med. Child. Neurol. 2006. Vol. 48, No 6. P. 429-435. DOI: 10.1017/S0012162206000946.
  • Inter- and intrarater clinician agreement on joint motion patterns during gait in children with cerebral palsy / A. Nieuwenhuys, E. Papageorgiou, G. Molenaers, D. Monari, T. de Laet, K. Desloovere // Dev. Med. Child. Neurol. 2017. Vol. 59, No 7. P. 750-755. DOI: 10.1111/dmcn.13404.
  • Анализ причин патологических паттернов кинематического локомоторного профиля по данным компьютерного анализа походки у детей со спастическими формами ДЦП / Г.М. Чибиров, Т.И. Долганова, Д.В. Долганов, Д.А. Попков // Гений ортопедии. 2019. Т. 25, № 4. C. 493-500.
  • Moissenet F., Armand S. Qualitative and quantitative methods of assessing gait disorders. In: Orthopedic management of children with cerebral palsy: A comprehensive approach. Canavese F., Deslandes J. New York: Nova Science Publishers. 2015. P. 215-239. https://archive-ouverte.umge. ch/unige:81178.
  • Long-term outcomes after multilevel surgery including rectus femoris, hamstring and gastrocnemius procedures in children with cerebral palsy / S. Öunpuu, M. Solomito, K. Bell, P. DeLuca, K. Pierz // Gait Posture. 2015. Vol. 42, No 3. P. 365-372. DOI: 10.1016/j.gaitpost.2015.07.003.
  • Long-term follow-up after patellar tendon shortening for flexed knee gait in bilateral spastic cerebral palsy / D.B. Kuchen, P. Eichelberger, H. Baur, E. Rutz // Gait Posture. 2020. Vol. 81. P. 85-90. DOI: 10.1016/j.gaitpost.2020.07.003.
  • Long-term follow-up after multilevel surgery in cerebral palsy / R. Visscher, N. Hasler, M. Freslier, N.B. Singh, W.R. Taylor, R. Brunner, E. Rutz // Arch. Orthop. Trauma Surg. 2021. DOI: 10.1007/s00402-021-03797-0. Online ahead of print.
  • Theologis T. Lever arm dysfunction in cerebral palsy gait // J. Child. Orthop. 2013. Vol. 7, No 5. P. 379-382. DOI: 10.1007/s11832-013-0510-y.
  • Lawniczak D., Jozwiak M., Manikowska F. Ocena calkowitej predkosci liniowej i katowej stawu kolanowego u chorych z postacia spastyczna mozgowego porazenia po operacyjnym leczeniu tzw. "deformacji dzwigniowozaleznych" konczyn dolnych--badanie prospektywne // Chir. Narzadow Ruchu Ortop. Pol. 2010. Vol. 75, No 2. P. 92-97.
  • Walking abilities of young adults with cerebral palsy: changes after multilevel surgery and adolescence / M.E. Gannotti, G.E. Gorton 3rd, M.T. Nahorniak, P.D. Masso // Gait Posture. 2010. Vol. 32, No 1. P. 46-52. DOI: 10.1016/j.gaitpost.2010.03.002.
  • Walking deterioration and gait analysis in adults with spastic bilateral cerebral palsy / A. Opheim, J.L. McGinley, E. Olsson, J.K. Stanghelle, R. Jahnsen // Gait Posture. 2013. Vol. 37, No 2. P. 165-171. DOI: 10.1016/j.gaitpost.2012.06.032.
  • Stability of the Gross Motor Function Classification System after single-event multilevel surgery in children with cerebral palsy / E. Rutz, O. Tirosh, P. Thomason, A. Barg, H.K. Graham // Dev. Med. Child. Neurol. 2012. Vol. 54, No 12. P. 1109-1113. DOI: 10.1111/dmcn.12011.
  • Rectus femoris transfer in cerebral palsy patients with stiff knee gait / S.Y. Lee, S.S. Kwon, C.Y. Chung, K.M. Lee, Y. Choi, T.G. Kim, W.C. Shin, I.H. Choi, T.J. Cho, W.J. Yoo, M.S. Park // Gait Posture. 2014. Vol. 40, No 1. P. 76-81. DOI: 10.1016/j.gaitpost.2014.02.013.
  • Lehtonen K., Màenpàà H., Piirainen A. Does single-event multilevel surgery enhance physical functioning in the real-life environment in children and adolescents with cerebral palsy (CP)?: patient perceptions five years after surgery // Gait Posture. 2015. Vol. 41, No 2. P. 448-453. DOI: 10.1016/j. gaitpost.2014.11.005.
  • Lopez D., Martel D., Renolleau M. La rééducation et les soins infirmiers postopératoires immédiats (après chirurgie orthopédique multisite). In: Penneçot C.F. Marche pathologique de l'enfant paralysé cérébral. Montpellier: Sauramps Medica. 2009.
  • Kinematic and kinetic outcomes after identical multilevel soft tissue surgery in children with cerebral palsy / S.E. Adolfsen, S. Ounpuu, K.J. Bell, P.A. DeLuca // J. Pediatr. Orthop. 2007. Vol. 27, No 6. P. 658-667. DOI: 10.1097/BPO.0b013e3180dca114.
  • Static and dynamic gait parameters before and after multilevel soft tissue surgery in ambulating children with cerebral palsy / N.M. Bernthal, S.C. Gamradt, R.M. Kay, T.A. Wren, A.V. Cuomo, J. Reid, J. Bales, N.Y. Otsuka // J. Pediatr. Orthop. 2010. Vol. 30, No 2. P. 174-179. DOI: 10.1097/ BPO.0b013e3181d04fb5.
  • Chibirov G.M., Pliev M.K., Popkov D.A. A new technique of flexor carpi ulnaris transfer in multilevel surgery for upper extremity deformities in spastic cerebral palsy // Med. Glas. (Zenica). 2021. Vol. 18, No 1. P. 202-207. DOI: 10.17392/1313-21.
  • Kinematic and kinetic evaluation of the ankle after lengthening of the gastrocnemius fascia in children with cerebral palsy / S.A. Rose, P.A. DeLuca, R.B. Davis 3rd, S. Ounpuu, J.R. Gage // J. Pediatr. Orthop. 1993. Vol. 13, No 6. P. 727-732. DOI: 10.1097/01241398-199311000-00007.
  • Recovery of muscle strength following multi-level orthopaedic surgery in diplegic cerebral palsy / M. Seniorou, N. Thompson, M. Harrington, T. Theologis // Gait Posture. 2007. Vol. 26, No 4. P. 475-481. DOI: 10.1016/j.gaitpost.2007.07.008.
  • Talonavicular arthrodesis for the treatment of neurological flat foot deformity in pediatric patients: clinical and radiographic evaluation of 29 feet / G. de Coulon, K. Turcot, F. Canavese, R. Dayer, A. Kaelin, D. Ceroni // J. Pediatr. Orthop. 2011. Vol. 31, No 5. P. 557-563. DOI: 10.1097/ BPO.0b013e31821fffa0.
  • Popkov D.A., Journeau P., Popkov A.V. Comparative study on results of reconstructive surgery in 45 hip joints of 25 children with cerebral palsy // Eur. Orthop. Traumatol. 2014. Vol. 5, No 1. P. 57-63.
  • Surgical technique: Medial column arthrodesis in rigid spastic planovalgus feet / P.M. de Moraes Barros Fucs, C. Svartman, R.M. de Assumpçâo, H.H. Yamada, S.D. Simis // Clin. Orthop. Relat. Res. 2012. Vol. 470, No 5. P. 1334-1343. DOI: 10.1007/s11999-011-2185-3.
  • Distal Femoral Extension Osteotomy with 90° Pediatric Condylar Locking Compression Plate and Patellar Tendon Advancement for the Correction of Crouch Gait in Cerebral Palsy / A. Aroojis, M. Patel, A. Shah, K. Sarathy, S. Vaidya, R. Mehta // Indian J. Orthop. 2019. Vol. 53, No 1. P. 45-52. DOI: 10.4103/ortho.IJOrtho_410_17.
  • Rotational osteotomy with submuscular plating in skeletally immature patients with cerebral palsy / H.J. Lee, C.W. Oh, K.S. Song, J.W. Kim, J.W. Jung, B.C. Park, J.Y. Kim // J. Orthop. Sci. 2013. Vol. 18, No 4. P. 557-562. DOI: 10.1007/s00776-013-0384-3.
  • Winkelstabile Implantate zur Osteosynthese nach Korrekturosteotomien in der Kinder- und Neuroorthopàdie / J.F. Funk, T. Seidl, C. Perka, N.P. Haas, R. Placzek // Z. Orthop. Unfall. 2011. Vol. 149, No 4. P. 428-435. DOI: 10.1055/s-0030-1270964.
  • Distal femoral osteotomy using the LCP pediatric condylar 90-degree plate in patients with neuromuscular disorders / E. Rutz, M.S. Gaston, C. Camathias, R. Brunner // J. Pediatr. Orthop. 2012. Vol. 32, No 3. P. 295-300. DOI: 10.1097/BPO.0b013e31824b29d7.
  • Kondratek M., McCollum H., Garland A. Long-term physical therapy management following a single-event multiple level surgery // Pediatr. Phys. Ther. 2010. Vol. 22, No. 4. P. 427-438. DOI: 10.1097/PEP.0b013e3181f93cae.
  • Evaluation of single event multilevel surgery and rehabilitation in children and youth with cerebral palsy - A 2-year follow-up study / A. Akerstedt, O. Risto, P. Odman, B. Oberg // Disabil. Rehabil. 2010. Vol. 32, No 7. P. 530-539. DOI: 10.3109/09638280903180171.
  • Effects of a postoperative strength-training program on the walking ability of children with cerebral palsy: a randomized controlled trial / D. Patikas, S.I. Wolf, K. Mund, P. Armbrust, W. Schuster, L. Doderlein//Arch. Phys. Med. Rehabil. 2006. Vol. 87, No 5. P. 619-626. DOI: 10.1016/j.apmr.2006.01.023.
  • Effects of a postoperative resistive exercise program on the knee extension and flexion torque in children with cerebral palsy: a randomized clinical trial / D. Patikas, S.I. Wolf, P. Armbrust, K. Mund, W. Schuster, T. Dreher, L. Doderlein // Arch. Phys. Med. Rehabil. 2006. Vol. 87, No 9. P. 11611169. DOI: 10.1016/j.apmr.2006.05.014.
  • H0iness P.R., Capjon H., Lofterad B. Pain and rehabilitation problems after single-event multilevel surgery including bony foot surgery in cerebral palsy. A series of 7 children // Acta Orthop. 2014. Vol. 85, No 6. P. 646-651. DOI: 10.3109/17453674.2014.960141.
  • Результаты многоуровневых одномоментных ортопедических операций и ранней реабилитации в комплексе с ботулинотерапией у пациентов со спастическими формами церебрального паралича / Д.А. Попков, В.А. Змановская, Е.Б. Губина, С.С. Леончук, М.Н. Буторина, О.Л. Павлова // Журнал неврологии и психиатрии им. C.C. Корсакова. 2015. Т. 115, № 4. С. 41-48.
  • Early Mobilization Rehabilitation Program for Children with Cerebral Palsy Undergoing Single-Event Multilevel Surgery / M. Howard, C. Bickley, J. Linton, L. Northcutt, M. Lux, A. Scott, L. Stephenson, D. Barnes // Pediatr. Phys. Ther. 2020. Vol. 32, No 3. P. 218-224. DOI: 10.1097/ PEP.0000000000000709.
  • Single-event multilevel surgery in children with spastic diplegia: a pilot randomized controlled trial / P. Thomason, R. Baker, K. Dodd, N. Taylor, P. Selber, R. Wolfe, H.K. Graham // J. Bone Joint Surg. Am. 2011. Vol. 93, No 5. P. 451-460. DOI: 10.2106/JBJS.J.00410.
  • Longitudinal changes in mobility following single-event multilevel surgery in ambulatory children with cerebral palsy / A. Harvey, P. Rosenbaum, S. Hanna, R. Yousefi-Nooraie, K.H. Graham // J. Rehabil. Med. 2012. Vol. 44, No 2. P. 137-143. DOI: 10.2340/16501977-0916.
  • Flexed-knee gait in children with cerebral palsy: a 10-year follow-up study / T. Haumont, C. Church, S. Hager, M.J. Cornes, D. Poljak, N. Lennon, J. Henley, D. Taylor, T. Niiler, F. Miller // J. Child. Orthop. 2013. Vol. 7, No 5. P. 435-443. DOI: 10.1007/s11832-013-0505-8.
  • Long-term development of gait after multilevel surgery in children with cerebral palsy: a multicentre cohort study / T. Dreher, P. Thomason, M. Svehlik, L. Doderlein, S.I. Wolf, C. Putz, O. Uehlein, K. Chia, G. Steinwender, M. Sangeux, H.K. Graham // Dev. Med. Child. Neurol. 2018. Vol. 60, No 1. P. 88-93. DOI: 10.1111/dmcn.13618.
  • What is the functional mobility and quality of life in patients with cerebral palsy following single-event multilevel surgery? / T.A. Edwards, R.J. Prescott, J. Stebbins, J. Wright, T. Theologis // J. Child. Orthop. 2020. Vol. 14, No 2. P. 139-144. DOI: 10.1302/1863-2548.14.190148.
  • Use of 3D gait analysis as predictor of Achilles tendon lengthening surgery outcomes in children with cerebral palsy / G. Pilloni, M. Pau, F. Costici, C. Condoluci, M. Galli // Eur. J. Phys. Rehabil. Med. 2019. Vol. 55, No 2. P. 250-257. DOI: 10.23736/S1973-9087.18.05326-1.
  • Single-event multilevel surgery for crouching cerebral palsy children: Correlations with quality of life and functional mobility / J. Amen, M. El-Gebeily, D.M. El-Mikkawy, A.H. Yousry, T.A. El-Sobky // J. Musculoskelet. Surg. Res. 2018. Vol. 2. P. 148-155.
  • Shore B.J., White N., Graham H.K. Surgical correction of equinus deformity in children with cerebral palsy: a systematic review // J. Child. Orthop. 2010. Vol. 4, No 4. P. 277-290. DOI: 10.1007/s11832-010-0268-4.
  • Isolated calf lengthening in cerebral palsy. Outcome analysis of risk factors / D.C. Borton, K. Walker, M. Pirpiris, G.R. Nattrass, H.K. Graham // I. Bone Joint Surg. Br. 2001. Vol. 83, No 3. P. 364-370. DOI: 10.1302/0301-620x.83b3.10827.
  • Dietz F.R., Albright J.C., Dolan L. Medium-term follow-up of Achilles tendon lengthening in the treatment of ankle equinus in cerebral palsy // Iowa Orthop. J. 2006. Vol. 26. P. 27-32.
  • Calcaneal gait in spastic diplegia after heel cord lengthening: a study with gait analysis / L.S. Segal, S.E. Thomas, J.M. Mazur, M. Mauterer // J. Pediatr. Orthop. 1989. Vol. 9, No 6. P. 697-701. DOI: 10.1097/01241398-198911000-00013.
  • Клинико-биомеханические результаты многоуровневых ортопедических вмешательств при crouch gait / Т.И. Долганова, О.И. Гатамов, Г.М. Чибиров, Д.В. Долганов, Д.А. Попков // Гений ортопедии. 2020. T. 26, № 3. С. 325-333.
  • Evaluación externa de los cambios funcionales y la marcha tras una sesión de miofibrotomía múltiple en escolares con diplejía espástica / D. Gómez-Andrés, I. Pulido-Valdeolivas, J.A. Martin-Gonzalo, J. López-López, I. Martinez-Caballero, E. Gómez-Barrena, E. Rausell // Rev. Neurol. 2014. Vol. 58, No 6. P. 247-254.
  • Шишов С.В., Ившин В.Г. Минимально инвазивные операции на мышцах у детей с ДЦП. Опыт пятилетнего применения // Вестник новых медицинских технологий. Электронный журнал. 2016. № 2. С. 137-141.
  • The effects of patellar tendon advancement on the immature proximal tibia / C. Patthanacharoenphon, D.L. Maples, C. Saad, M.J. Forness, M.A. Halanski // J. Child. Orthop. 2013. Vol. 7, No 2. P. 139-146. DOI: 10.1007/s11832-012-0480-5.
  • Is percutaneous proximal gracilis tenotomy as effective and safe as the open procedure? / B. Hachache, T. Eid, E. Ghosn, A. Sebaaly, K. Kharrat, I. Ghanem // J. Child. Orthop. 2015. Vol. 9, No 6. P. 477-481. DOI: 10.1007/s11832-015-0699-z.
  • Is percutaneous medial hamstring myofascial lengthening as anatomically effective and safe as the open procedure? / T. Mansour, J. Derienne, M. Daher, D. Sarraf, Y. Zoghbi, I. Ghanem // J. Child. Orthop. 2017. Vol. 11, No 1. P. 15-19. DOI: 10.1302/1863-2548-11-160175.
Еще
QR-код для установки приложения SciUp Наведите камеру и скачайте бесплатное приложение SciUp